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MR. PACE PHYSICAL EXAMS AND VITAL SIGNS
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MR. PACE PHYSICAL EXAMS AND VITAL SIGNS. A.Identify instruments used for a physical exams B.List observable signs of problems associated with each body.

Jan 13, 2016

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Page 1: MR. PACE PHYSICAL EXAMS AND VITAL SIGNS. A.Identify instruments used for a physical exams B.List observable signs of problems associated with each body.

M R. PAC E

PHYSICAL EXAMS AND VITAL SIGNS

Page 2: MR. PACE PHYSICAL EXAMS AND VITAL SIGNS. A.Identify instruments used for a physical exams B.List observable signs of problems associated with each body.

PHYSICAL EXAMS AND VITAL SIGNS

A. Identify instruments used for a physical examsB. List observable signs of problems associated

with each body systemC. Take a preliminary animal history from a clientD. Measure and record vital statistics

Page 3: MR. PACE PHYSICAL EXAMS AND VITAL SIGNS. A.Identify instruments used for a physical exams B.List observable signs of problems associated with each body.

INSTRUMENTS FOR THE P.E.

• Stethoscope• Used to listen to

heart, lung, or gut sounds

• Thermometer• Used to measure

body temperature

Page 4: MR. PACE PHYSICAL EXAMS AND VITAL SIGNS. A.Identify instruments used for a physical exams B.List observable signs of problems associated with each body.

INSTRUMENTS FOR P.E.

• Scale• To measure weight

Page 5: MR. PACE PHYSICAL EXAMS AND VITAL SIGNS. A.Identify instruments used for a physical exams B.List observable signs of problems associated with each body.

INSTRUMENTS FOR THE P.E.

• Clock/Timer• Used to time pulse

and respiration rate

• Medical Chart• To see past history

and record info

Page 6: MR. PACE PHYSICAL EXAMS AND VITAL SIGNS. A.Identify instruments used for a physical exams B.List observable signs of problems associated with each body.

INSTRUMENTS FOR P.E.

• Otoscope• Used to see inside

ears

• Ophthalmoscope• Used to see eyes

Page 7: MR. PACE PHYSICAL EXAMS AND VITAL SIGNS. A.Identify instruments used for a physical exams B.List observable signs of problems associated with each body.

INSTRUMENTS FOR P.E.

• Gauze, Q-Tips, Cotton Balls• Used to clean ears or around eyes• Used to take swabs for tests

Page 8: MR. PACE PHYSICAL EXAMS AND VITAL SIGNS. A.Identify instruments used for a physical exams B.List observable signs of problems associated with each body.

INSTRUMENTS FOR P.E.

• Exam Gloves• Used to keep

hands clean….(er)

• Restraint Equipment

Page 9: MR. PACE PHYSICAL EXAMS AND VITAL SIGNS. A.Identify instruments used for a physical exams B.List observable signs of problems associated with each body.

OBSERVABLE SIGNS

• Integumentary System• Coat – Shiny/Full or Dull/Brittle• Bald Patches• Rashes• Dry, Flaking Skin

Page 10: MR. PACE PHYSICAL EXAMS AND VITAL SIGNS. A.Identify instruments used for a physical exams B.List observable signs of problems associated with each body.

OBSERVABLE SIGNS

• Musculoskeletal System• Is there any visible lameness?

Page 11: MR. PACE PHYSICAL EXAMS AND VITAL SIGNS. A.Identify instruments used for a physical exams B.List observable signs of problems associated with each body.

OBSERVABLE SIGNS

• Circulatory System• Coughing• Fainting• Dyspnea• Heart Murmurs

Page 12: MR. PACE PHYSICAL EXAMS AND VITAL SIGNS. A.Identify instruments used for a physical exams B.List observable signs of problems associated with each body.

OBSERVABLE SIGNS

• Respiratory System• Coughing• Sneezing• Nasal Discharge• Exercise intolerance• Cyanosis

Page 13: MR. PACE PHYSICAL EXAMS AND VITAL SIGNS. A.Identify instruments used for a physical exams B.List observable signs of problems associated with each body.

OBSERVABLE SIGNS

• Digestive System• Eating Normally• Diet Changes• Toxin exposure (rat poison, chocolate, antifreeze)• Vomiting or Diarrhea

Page 14: MR. PACE PHYSICAL EXAMS AND VITAL SIGNS. A.Identify instruments used for a physical exams B.List observable signs of problems associated with each body.

OBSERVABLE SIGNS

• Urinary System• Abnormal Discharge, smell, color• Swelling• Difficulty or inability to urinate

Page 15: MR. PACE PHYSICAL EXAMS AND VITAL SIGNS. A.Identify instruments used for a physical exams B.List observable signs of problems associated with each body.

OBSERVABLE SIGNS

• Nervous System• Seizures• Behavior Changes• Head Tilt

Page 16: MR. PACE PHYSICAL EXAMS AND VITAL SIGNS. A.Identify instruments used for a physical exams B.List observable signs of problems associated with each body.

OBSERVABLE SIGNS

• Others:• Lymph nodes – swollen• Eyes – Excessive tears, discharge• Ears – discharge, unusual odor, head shaking• Mouth – Gums and Teeth healthy, moist and pink mucous

membranes

Page 17: MR. PACE PHYSICAL EXAMS AND VITAL SIGNS. A.Identify instruments used for a physical exams B.List observable signs of problems associated with each body.

PATIENT HISTORY

20 questions….

What are the most helpful question to ask?

Page 18: MR. PACE PHYSICAL EXAMS AND VITAL SIGNS. A.Identify instruments used for a physical exams B.List observable signs of problems associated with each body.

PATIENT HISTORY

• Characteristics of good questions:

• Open ended questions• Owner is more likely to give more information than if you ask

yes/no questions

• Lead to all pertinent information• Vaccine history, exposure to other animals, date of injury or

illness onset, etc

Page 19: MR. PACE PHYSICAL EXAMS AND VITAL SIGNS. A.Identify instruments used for a physical exams B.List observable signs of problems associated with each body.

PATIENT HISTORY

• Basics:• Owner info• Breed and species• Age and Gender

Page 20: MR. PACE PHYSICAL EXAMS AND VITAL SIGNS. A.Identify instruments used for a physical exams B.List observable signs of problems associated with each body.

PATIENT HISTORY

• Illness/injury report:• List of symptoms• When did it start?• Onset of injury/illness

Page 21: MR. PACE PHYSICAL EXAMS AND VITAL SIGNS. A.Identify instruments used for a physical exams B.List observable signs of problems associated with each body.

PATIENT HISTORY

• Background Info• Vaccine History• Illness/injury history• Exposure to other animals

Page 22: MR. PACE PHYSICAL EXAMS AND VITAL SIGNS. A.Identify instruments used for a physical exams B.List observable signs of problems associated with each body.

PATIENT HISTORY

• Make a list of at least 5 good questions for each category• Basics• Illness/Injury Report• Background Information

Page 23: MR. PACE PHYSICAL EXAMS AND VITAL SIGNS. A.Identify instruments used for a physical exams B.List observable signs of problems associated with each body.

VITAL STATISTICS

T P R•Temperature•Pulse•Respiration

Page 24: MR. PACE PHYSICAL EXAMS AND VITAL SIGNS. A.Identify instruments used for a physical exams B.List observable signs of problems associated with each body.

VITAL STATISTICS

• Temperature

• Why body temperature changes:

• Infection/disease• Excitement/stress• Environment

Page 25: MR. PACE PHYSICAL EXAMS AND VITAL SIGNS. A.Identify instruments used for a physical exams B.List observable signs of problems associated with each body.

VITAL STATISTICS

• How to take a temperature

1. Turn thermometer on (digital)2. Lubricate end3. Insert into rectum and hold until it beeps (2-3

min)

Page 26: MR. PACE PHYSICAL EXAMS AND VITAL SIGNS. A.Identify instruments used for a physical exams B.List observable signs of problems associated with each body.

VITAL STATISTICS

• Know the terminology1. Hypothermia = below normal body temp2. Hyperthermia = above normal body temp3. Fever = excessive heat in the body4. Heat stroke = body temp above 105

Page 27: MR. PACE PHYSICAL EXAMS AND VITAL SIGNS. A.Identify instruments used for a physical exams B.List observable signs of problems associated with each body.

VITAL STATISTICS

• Pulse

• Heart Rate

• Why heart rate changes:• Anxiety• Exercise• Pain• Disease• Shock

Page 28: MR. PACE PHYSICAL EXAMS AND VITAL SIGNS. A.Identify instruments used for a physical exams B.List observable signs of problems associated with each body.

VITAL STATISTICS

• How to measure pulse rate:

1. Using index and middle finger, gently feel over the artery until you feel the pulse

2. Count number of pulses in 15 seconds3. Multiply by 4 to get beats/minute

Page 29: MR. PACE PHYSICAL EXAMS AND VITAL SIGNS. A.Identify instruments used for a physical exams B.List observable signs of problems associated with each body.

VITAL STATISTICS

• Pulse Sites:

Page 30: MR. PACE PHYSICAL EXAMS AND VITAL SIGNS. A.Identify instruments used for a physical exams B.List observable signs of problems associated with each body.

VITAL STATISTICS

• Respiration• Number of breaths per minute (inhale and exhale = 1

breath)

• Why respiratory rate changes:• Anxiety• Exercise• Pain• Disease• Shock

Page 31: MR. PACE PHYSICAL EXAMS AND VITAL SIGNS. A.Identify instruments used for a physical exams B.List observable signs of problems associated with each body.

VITAL STATISTICS

• How to measure respiration

• Observe the rise and fall of chest

• Count number of breaths for 15 seconds

• Multiply by 4 to get breaths/minute

Page 32: MR. PACE PHYSICAL EXAMS AND VITAL SIGNS. A.Identify instruments used for a physical exams B.List observable signs of problems associated with each body.

VITAL STATISTICS

Average TPR’sAnimal Normal

Temperature F

PulseBeats/Min

RespirationBreaths/Min

Cat 101.5 110-130 20-30

Cattle 101.0 60-70 10-30

Chicken 107.0 200-400 15-30

Dog 102.0 70-120 10-30

Goat 102.5 40-60 12-20

Horse 100.0 30-60 8-16

Rabbit 103.0 123-304 30-45

Sheep 102.0 60-90 12-20